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Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3787-1040
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0001-6163-9690
2017 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, no 4, p. 436-443Article in journal (Refereed) Published
Abstract [en]

To develop a conceptual framework of adherence to treatment among Thai people living with tuberculosis, a grounded theory approach was used. A purposive sample of 20 Thai people living with tuberculosis, aged from 23 to 85years, was interviewed. From the participants' perspective, a core category of social belonging was highlighted, with three categories of conditions connected: personal barriers, personal resilience, and social facilitation. Personal barriers encompassed fear of stigma, concealing the illness, and lack of knowledge and motivation to complete the treatment regime. Personal resilience encompassed positive thinking and self-awareness. Social facilitation encompassed the ease of access to health services, continuity in the health service's ability to choose a directly-observed therapy observer, and social support. This study contributes a deeper understanding of the perspective of Thai people living with tuberculosis with regards to adherence to tuberculosis treatment. It might improve how local healthcare workers provide tuberculosis care, and inspire them to tailor care to people living with tuberculosis in a local community to increase personal resilience and reduce stigma.

Place, publisher, year, edition, pages
WILEY , 2017. Vol. 19, no 4, p. 436-443
Keywords [en]
adherence to treatment, conceptual framework, grounded theory, Thailand, tuberculosis, stigma
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-37620DOI: 10.1111/nhs.12362ISI: 000418093100005PubMedID: 28719050Scopus ID: 2-s2.0-85025089217OAI: oai:DiVA.org:mdh-37620DiVA, id: diva2:1170950
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-01-23Bibliographically approved

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Tillgren, PerSöderbäck, Maja

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